@MondayNightIBD 2/📣#IBD & meds carry an⬆️risk of #Malignancies, including lymphomas

🔺Who is at risk?
🔺Is it IBD-mediated or drug-related?
🔺What is our prevention & screening🔎strategy?

Thank you for joining this special #MondayNightIBD #Back2Basics @DuekerJeffrey @MondayNightIBD @DuekerJeffrey @amelia_kellar @DCharabaty @IBD_Afzali @drdani23 @ibddoctor @EdithHoMD @fgomollon @IBD_DrEMF @ibdgijami @MaiaKayalMD 3/ 🔥IBD may carry a unique risk of primary intestinal lymphoma (PILD), but NO🔼risk of extra-intestinal NHL

In CESAME population,
▪️Crude IR of PILD was 0.12/1000 patient-years (py)
▪️All B-cell NH LD
▪️79% ♂️, 11 CD, 3 UC
▪️86% arose in IBD lesions
▪️45% were EBV positive

@MondayNightIBD 1/ 📣 #GITwitter #IBDTwitter
It’s a new🔥#Back2Basics session with #GI #Fellow @JosephHabibi_MD

Let’s talk AZA/6-MP in IBD

✅#IBDPolls 1️⃣&2️⃣👆🏽
✅Role as Mono/combo therapy
✅Escalation consideration
✅TPMT & NUDT15 testing
✅Side effects & counseling @MondayNightIBD @NavreetChowlaMD @MilestoneIBD @IBD_FloMD @tinahamd @DrCoreySiegel @HorstIBDDoc @MLongMD @LauraRaffalsMD @doc_ibd @IBDBen 2/ AZA trials in IBD:

🔹Corticosteroids needed to induce remission
🔹Takes ~12 wks for AZA/6MP to become effective, so taper steroids accordingly
🔹AZA/6-MP effective for maintenance of remission (mainly in UC); Not effective for induction

@MondayNightIBD @BassiMehak @abbvie @JanssenUS @ferring @TakedaPharma #PreConvo #IBDPoll1⃣

🆓#CME bit.ly/3wdwE7J

25y/oM w refractory #UlcerativeColitis undergo colectomy w IPAA. Takes acetaminophen PRN headaches & drinks a🍷glass w dinner. Presents for a routine f/up visit. labs: Alk Phos 250. What is the most likely cause of this AP? @MondayNightIBD @BassiMehak @abbvie @JanssenUS @ferring @TakedaPharma #PreConvo #IBDPoll2⃣

🆓#CME bit.ly/3wdwE7J

What is the most common extra-intestinal manifestation #EIM in patients living with #IBD?

Let’s pause for a second, and remember two major #stigma spreading around as contagiously as #COVID19. 🦠
1️⃣Ethnicity of the virus and
2️⃣wearing #PPE

I’m addressing 2️⃣ today, but for more guidance on 1️⃣, & more social Do’s and don’ts, please refer to 👉unicef.org/documents/soci… To summarize the ongoing debate: “Absence of evidence is NOT evidence of absence”. A half full glass 😷 can be better than none at all. This 🏴&🏳️ system is leading to two issues:
1️⃣ opportunity to incentivize PPE production is lost
2️⃣ STIGMA against those who choose to don.

https://twitter.com/squeenbryant/status/1244522141804040194

10 things IMG (and USMG) applicants should know for the 2020 residency MATCH: I can’t help but recall how stressful the application journey was one year ago. I hope this thread helps out (instead of adding stress)! @ERAS @AAMC Build your CV: it helps as you are requesting letters from mentors, or basically any email you're sending. Have a clear CV that speaks of your accomplishments. Do not miss a certificate or work in progress. Here is a link to how to do a cover letter.

https://twitter.com/ShreyaTrivediMD/status/1134263749689430016